JON E. SANFORD,M.D.,P.C. (NPI# 1053420323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053420323 |
| Entity Type | Organization |
| Organization Name | JON E. SANFORD,M.D.,P.C. |
| Practice Address |
122 17th Ct Ne Fayette AL 35555-1353 |
| Practice Telephone | 2059323900 |
| Practice Fax Number | 2059323941 |
| Mailing Telephone | 2059323900 |
| Mailing Fax Number | 2059323941 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JON E SANFORD (PRESIDENT) |
| Authorized Official Telephone | 2059323900 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 3835 | AL | Allopathic & Osteopathic Physicians |
| Street Address |
122 17TH CT NE |
| City | FAYETTE |
| State | AL |
| Zip Code | 35555-1353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992323059 | Averi Brookelyn Smith Botts | Nurse Practitioner | 122 17th Ct Ne, Fayette, AL 35555-1353 | 2020-07-06 |
| 1235590001 | Medcenter Fayette, LLC | Nurse Practitioner | 122 17th Ct Ne, Fayette, AL 35555-1353 | 2016-03-08 |
| 1982676490 | Jon E Sanford | Family Medicine | 122 17th Ct Ne, Fayette, AL 35555-1353 | 2006-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982213021 | Brittany Nicole Pate | Pharmacist | 3186 Al-171 N, Fayette, AL 35555 | 2020-07-24 |
| 1942703020 | The Language Lab | Clinic/Center | 111 Columbus Street East, Fayette, AL 35555 | 2018-03-14 |
| 1407292709 | Lana Langley | Speech-Language Pathologist | 111 Columbus St E, Fayette, AL 35555 | 2013-05-14 |
| 1992096275 | Wendy Dawn Benton | Nurse Practitioner | 122 17th Court Ne, Fayette, AL 35555 | 2011-04-21 |
| 1699004929 | Patricia Lorraine Montgomery | Counselor | 123 2nd Avenue, Nw, Fayette, AL 35555 | 2009-12-16 |
| 1184826398 | Charles Thomas Webster | Pharmacist | 1116 2nd Ave Ne, Fayette Square Shopping Center, Fayette, AL 35555 | 2007-06-01 |
| 1114060381 | Fayette County Health Dept Adult Immun | Public Health or Welfare | 211 First Street, N.w., Fayette, AL 35555 | 2007-02-15 |
| 1356433064 | Dana Suzette Norris | Nurse Practitioner | 1653 Temple Ave N Ste 1, Fayette, AL 35555 | 2006-09-29 |
| 1992788871 | Air Evac Ems Inc | Ambulance | 108 21st St Ne, Fayette, AL 35555 | 2005-11-23 |
| 1255656112 | Debbie Kilgore Yerby | Pharmacist | 1716 Temple Avenue North, Fayette, AL 35555 | 2010-04-05 |
| Find all providers in zip 35555 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265752356 | John Ellis Evans | Family Medicine | 456 River Road, Fayette, MS 39069 | 2010-06-11 |
| 1225247505 | Jefferson County Hospital | Family Medicine | 870 Main Street, Fayette, MS 39069 | 2007-05-22 |
| 1356410229 | Johnny B Bills | Family Medicine | 225 Community Ave, Fayette, MS 39069 | 2006-11-07 |
| 1912011370 | Janice L Hudson | Family Medicine | 1031 Temple Ave N, Fayette, AL 35555-1923 | 2006-08-19 |
| 1346289105 | Charles W Nolen Jr. | Family Medicine | 1705 1st Way Nw, Fayette, AL 35555-1307 | 2006-06-06 |
| 1578557948 | Garry W Magouirk | Family Medicine | 110 23rd St Nw, Fayette, AL 35555-1001 | 2005-08-31 |
| 1306462775 | Andrew Bennett Wright | Family Medicine | 308 S Church St, Fayette, MO 65248-1243 | 2020-06-22 |
| 1780200113 | Hannah Braungardt | Family Medicine | 308 S Church St, Fayette, MO 65248-1243 | 2020-06-22 |
| 1861018210 | Dalton Lohsandt | Family Medicine | 308 S Church St, Fayette, MO 65248-1243 | 2020-06-22 |
| 1083274815 | Ryan Patrick Muehling | Family Medicine | 308 S Church St, Fayette, MO 65248-1243 | 2019-06-14 |
| Find all providers in FAYETTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.